Organization Active NPI

Golden Rose Hospice Care Inc

  • Community Based Hospice Care Agency
  • Mesa, AZ
National Provider Identifier
1255090130
Registry record updated Jan 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
GOLDEN ROSE HOSPICE CARE INC
Practice address
931 E Southern Ave Ste 109
Mesa, AZ 85204-5036
Phone
(804) 687-9511
Fax
(480) 687-8724
NPI assigned
Dec 8, 2021
Last updated
Jan 31, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Arnel Fernandez
Title
Ceo
Phone
(480) 935-0831

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X NU Primary

Addresses

Primary practice location

931 E Southern Ave Ste 109
Mesa, AZ 85204-5036

Mailing address

931 E Southern Ave Ste 109
Mesa, AZ 85204-5036
Phone (804) 687-9511

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
03D2320544Golden Rose Hospice Care Inc931 E Southern Ave Ste 108, Mesa, AZ 85204Certificate of waiverMar 19, 2027

National Provider Directory

National Provider Directory

Locations

931 E Southern Ave
Ste 109
Mesa, AZ 85204
Phone (480) 935-0831

4150 W Peoria Ave
Ste B114A
Phoenix, AZ 85029
Phone (480) 885-5116

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1638921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706659200000",
    "number": "1255090130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "931 E SOUTHERN AVE STE 109",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852045036",
            "telephone_number": "804-687-9511",
            "fax_number": "480-687-8724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "931 E SOUTHERN AVE STE 109",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852045036",
            "telephone_number": "804-687-9511",
            "fax_number": "480-687-8724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN ROSE HOSPICE CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-08",
        "last_updated": "2024-01-31",
        "certification_date": "2024-01-31",
        "status": "A",
        "authorized_official_last_name": "FERNANDEZ",
        "authorized_official_first_name": "ARNEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "480-935-0831"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.